1FHBHRUBulletin - Spring 2015Volume 02 / Autumn 2016

BulletinTransforming health through connected communities

FHBHRUFlinders Human Behaviour and Health Research Unit

Pronounced [foo-broo]

The FHBHRU Bulletin is the official publication of Flinders Human Behaviour and Health Research Unit (FHBHRU) and is published semi-annually in Autumn and Spring.

FHBHRU has a unique role in undertaking research and education programs

that seek to improve the management of chronic conditions and mental health through self-management techniques advocated by well-informed medical and health professionals.

Our priorities include research, education & delivery, intervention and prevention approaches for chronic conditions and mental health.

Introduction to FHBHRU...

01 Introduction02 Welcome03 Help-seeking pathways for gambling

disorder03 Volunteer recruitment04 Improving access to psychological

therapies05 DVA eProgram for veterans06 Education and Training06 New Life Symposium08 CBT Certificate enrolments09 West Java Hospital delegation visit09 Flincare10 Partners in Health Scale11 Flinders Program Accredited

Trainers - why?12 Publications Oct - Mar13 Upcoming Workshops & Postgrad14 News in Brief

In this issue...

2 FHBHRUBulletin - Spring 2015

Welcome

Professor Sharon LawnProfessor Malcolm Battersby

Thanks again for reading about our updates in the FHBHRU Bulletin.

I’m pleased to advise that effective mid-November 2015, I have now formally taken up the role of Clinical Director for Mental Health Services, South Adelaide Local Health Network for the next 12 months. As I work closely with Sharon, I will be kept up to date and in the loop on all FHBHRU activity.

I also kicked off 2016 with a keynote speech at the “New Life Psychiatric Rehabilitation Association 50th Anniversary Symposium” in Hong Kong from the 15th January (which you can find out more about on page 6) and am looking forward to a busy and exciting rest of year.

Professor Malcolm Battersby

Welcome and thank you to those who have provided us with your feedback on our new look FHBHRU Newsletter. In this issue, providing help for people with gambling disorders, updates on Improving Access to Psychological Therapies, what’s new from Education and Training, and an interview with Accredited Trainer Kirsty Smith on why she became a trainer.

For much of this year so far, we have been very busy with a range of research opportunities that will shape some new directions and consolidate our existing work with services.

Like us, many of you will have contributed to the Inquiry into Chronic Disease Prevention and Management in Primary Health Care. Over the coming months, I’m sure we will see a number of policy announcements that will impact how chronic condition management is delivered in Australia.

We continue to receive requests from around the globe from groups seeking to translate the

Partners in Health Scale (PIH) for use in research.

Last month, we had the pleasure of hosting a delegation of mental health champions from West Java who have come to learn more about Australia’s mental health system and how they might build their community services which you can read more about on page 9 of the Bulletin.

Enjoy.

Professor Sharon Lawn

The FHBHRU Bulletin is the official publication of

Flinders University, Flinders Human Behaviour and

Health Research Unit and is published twice a year in

Spring and Autumn.

FHBHRU is highly recognised for inter-professional education, research,

consultancy and clinical service provision for the improvement of health

outcomes through behaviour change. Our objective is to

assist people to live well and live longer through improved

health behaviours.

Editor & DesignKristi McMillan

Marketing & Communications Officer, FHBHRU

Flinders Human Behaviour and Health Research Unit

Margaret Tobin Centre, Bedford Park SA 5042.

GPO Box 2100 Adelaide SA www.flinders.edu.au/medi-

cine/sites/fhbhru

3FHBHRUBulletin - Spring 2015

In Australia today over half a million people are either problem gamblers or at risk of gambling addiction. Because of its often concealed nature, gambling addiction is challenging to treat and only a minority of individuals afflicted (between 3% to 15%) seek formal help.

New research at the Flinders Centre for Gambling Research (FCGR) is investigating gambling help referral practices at both national and international levels with the aim to develop recommendations for future practice. This project will involve an iterative process of qualitative inquiries to explore questions such as “How can the rate and effectiveness of referrals of patrons to gambling help services be improved?” and “Are there any barriers or issues which are impacting on the referral of patrons to gambling help services?”

For many help-seeking problem gamblers, referral pathways often lead to community-based health services where a range of counselling and psychological treatments are offered. However, there is a pervasive threat to the effectiveness of many interventions due to high rates of relapse and dropout. This situation is frequently compounded by the implicit assumption in the development of treatment programmes that problem gamblers form a homogenous population.

To gain further insights into sub-populations of problem gamblers, recent research by FCGR has shown that pathways of gambling related urge and cognitions to problem gambling severity vary

between men and women. These findings have supported previous neuroimaging studies that have revealed gender differences in brain neurochemistry in gambling decision-making. In addition, our investigations have revealed that the different therapeutic mechanisms of cognitive and exposure therapies

play a distinct sequential role at the individual level.

Taken together, this research has motivated the planning and development of a proposal for a large scale randomised controlled trial to investigate the benefits of the combined effects of cognitive restructuring techniques and exposure therapy to address treatment needs at the individual level. This would enable a better understanding of gambling-specific therapy effects to provide a more clear direction and desired outcome of the therapy which is explicitly stated to the individual and provides new insights into the aetiology of gambling disorder.

Dr. David Smith

Help-seeking pathways for gambling disorder

Please contact Natalie Heighway at Flinders University on (08) 8404 2537 or email: ccm@flinders.edu.au

As a volunteer at one of our workshops, you will be interviewed by Flinders University student/s or health professional/s who work with people with ongoing health conditions.

Volunteers often give feedback about how they have enjoyed this experience and have often learnt something new about their health. For the workshop participants, working with the volunteer is a highlight of their training.

Flinders UniversityFlinders Human Behaviour & Health Research Unit

Do you have an ongoing health condition?(such as Diabetes, Arthritis, Asthma, Auto-immune Disease, Heart Disease,

Lung Disease, Parkinson’s, Cystic Fibrosis, Cancer, Pain or loss of mobility)

Do you have two hours to spare?

Refreshments will be provided.

VOLUNTEER RECRUITMENT

4 FHBHRUBulletin - Spring 2015

Improving Access to Psychological

therapies...Flinders Human Behaviour & Health Research Unit (FHBHRU) has continued to develop training and services based on the Increasing Access to Psychological Therapies (IAPT) Model developed nationally across the UK.

Depression and AnxietyCollaboration with beyondblue and Movember has continued to maintain recovery-based, early intervention services in mental health with the NewAccess program. The independent evaluation conducted by Ernst & Young concluded that the recovery rates for anxiety and depression had reached almost 70% and over 3000 people had entered the program. NewAccess has achieved its target of 40% male referrals and continues to have a large number of self-referrals via Facebook and the beyondblue website. The full evaluation is available using the following link to the beyondblue website. https://www.beyondblue.org.au/docs/default-source/research-project-files/bw0353_beyondblue-newaccess-demonstration-independent-evaluation.pdf?sfvrsn=0

Integration into PHNIn November 2015 the Australian Government Review of Mental Health Programmes and Services specifically highlighted the program, stating, “PHNs will.…be encouraged and supported to work towards better utilisation of low intensity ‘coaching’ services for people with lesser needs, building on evaluations of programmes such as the NewAccess model of care, and the Improving Access to

Psychological Therapies model of stepped care implemented in the United Kingdom.”

Due to the increased success of the project, beyondblue funded an extension for a further year and in March 2016 beyondblue chairman the Hon. Jeff Kennett wrote a formal letter of thanks to Flinders for their involvement. Flinders and beyondblue will continue to collaborate, aiming to roll out the program across Australia via PHNs as the recommended model for Low Intensity Mental Health.

IAPTFHBHRU have published two recent peer review papers based on NewAccess - Koivu, B., Drummond, A., Battersby, M. and Cromarty, P. (2016 in press). Large reductions in depression and anxiety via low intensity CBT delivered by novice coach. Australian & New Zealand Journal of Psychiatry.

Cromarty, P., Drummond, A., Francis, T., Watson J. & Battersby, M. (2016 in press). NewAccess for Depression and Anxiety: Adapting the UK Improving Access to Psychological Therapies Program across Australia. Australasian Psychiatry.

In addition the team are presenting a symposium at the 8th World Congress of Behavioural and Cognitive Therapies from 22-25 June 2016 at the Melbourne Convention and Exhibition Centre. This is titled, Improving Access to Psychological Therapies (IAPT) in Australia: Evidence-based

Due to the increased success of the project, beyondblue funded an extension for a further year and in March 2016 beyondblue chairman the Hon. Jeff Kennett wrote a formal letter of thanks to Flinders for their involvement.

5FHBHRUBulletin - Spring 2015

CBT Interventions for Anxiety, Depression and Gambling Addiction.

Due to the quality of the submission following independent review, (assessing scientific quality, relevance of the topic to the WCBCT audience, level of innovation, and likely impact on the field), FHBHRU were invited to contribute a short 1,000 word book chapter. This edited volume showcasing the highlights of the 8th WCBCT is published by Australian Academic Press, titled, “Innovations and Future Directions in the Behavioural and Cognitive Therapies”. The chapter will have the same title as the symposium and is written by IAPT Clinical Lead Paul Cromarty.

Remedy launchIn November 2015, the launch event for MindStep, Remedy Healthcare’s ‘first in kind’ Mental Health program was held in Melbourne’s Dockland area. The FHBHRU IAPT team provided the training and supervision for the new Mindstep coaches and were invited to the event. Professor

Malcolm Battersby p r o v i d e d an opening a d d r e s s for the launch which c o n c l u d e d with a talk by Olympic gold medal winning diver Matthew Mitcham, who shared his journey with depression and his road to recovery. The Remedy IAPT service offers CBT-based interventions for people discharged from hospital via their health insurance. This novel service is based on the successful IAPT@ Flinders Service that offers Low Intensity

CBT for people referred via hospital emergency departments. Mindstep is an Australia wide, telephone-only coaching pilot that FHBHRU will continue to support and evaluate.

Paul CromartyIAPT Projects

DVA eprogram for veteransThe Flinders Human Behaviour and Health Research Unit worked in collaboration with the Department of Veterans’ Affairs to develop a new eLearning program to improve veterans’ health care.

The new posttraumatic stress disorder (PTSD) eLearning program for mental health providers will help improve treatment for former Australian Defence Force (ADF) members.

Former Minister for Veterans’ Affairs and Minister Assisting the Prime Minister for the Centenary of ANZAC, Stuart Robert, said the Department of Veterans’ Affairs (DVA) developed the PTSD Psychological Interventions Program in response to research that found up to a third of providers

did not practise evidence-based treatment for PTSD.

“This online training program has been developed in line with the Australian Guidelines for the Treatment of Acute Stress Disorder and Posttraumatic Stress Disorder (2013) with the intention of improving knowledge and practice for mental health providers to help veterans recover,” Mr. Robert said.

The PTSD Psychological Interventions Program was developed in collaboration with Flinders University’s Human Behaviour and Health Research Unit (FHBHRU). Mental health providers who complete the program may claim continuous professional development hours for doing so.

Both eLearning programs, which are free-of-charge, are available through DVA’s online learning management system, DVAtrain. For information about registering for DVAtrain, go to http://www.dva.gov.au/providers/o n l i n e - t r a i n i n g -health-providers.

Deptartment of Veterans’ Affairs

6 FHBHRUBulletin - Spring 2015

During January, Professor Malcolm Battersby had the honour of being invited to be a keynote speaker at the New

Life Psychiatric Rehabilitation Associations 50th Anniversary Symposium in Hong Kong. The symposium was attended by over 400 delegates and community partners in the mental health field in Hong Kong and nearby cities.

Malcolm presented his talk at the symposium on “Empowerment through the Flinders Program” and hosted a post-conference workshop for internal staff on the Flinders Program. Although it was a busy trip, he did manage to get a few minutes to tour a Taoist Temple during his visit with New Life.

The Flinders Program in Hong KongIn January 2016, Professor Malcolm Battersby was an invited speaker at the New Life Psychiatric Rehabilitation Association 50th Anniversary Symposium in Hong Kong.

Following the symposium a group of New Life staff participated in a Flinders Program workshop facilitated by Malcolm and Choi Fong, one of our international Accredited Trainers, using the Chinese translation of the Flinders Program tools. The Education & Training team (with great support

from our Hong Kong liaison, Keith Wong) have been

providing ongoing care plan

f e e d b a c k to the

participants and as a result all 17 workshop attendees have gained their Certificate of Completion. To date eight of the participants have already achieved their Certificate of Competence with the remaining participants well on the way to achieving this. We look forward to our ongoing collaboration with New Life and supporting the development of potential Accredited Trainers from within this group in Hong Kong. CVC Program FHBHRU continues to provide the Coordinated Veterans’ Care (CVC) Program education and training for the Department of Veterans’ Affairs. The DVA funded online training modules were extensively updated in May 2015 and are now accessible via tablets and iPads. The online modules continue to be offered at no cost for health professionals providing care under the CVC Program to Gold Card veterans.

The feedback since the release of the revised modules has been

overwhelmingly positive and we continue to encourage

and support new enrolments, as we believe

the modules provide the best preparation

for the effective implementation

of CVC Program model of

care within g e n e r a l

practice.

Education &Training

“For someone who would be new to

chronic disease management for

veterans and non-veterans there is

plenty of detail, cue questions,

reading material and

resources to use”.

New Life Symposium

7FHBHRUBulletin - Spring 2015

Some recent evaluation comments on the revised online modules have included: • “The video interviews, examples

and resources are available to clarify information”

• “Video was a good tool to demonstrate the communication between patient, doctor and allied health professionals.”

• “For someone who would be new to chronic disease management for veterans and non-veterans there is plenty of detail, cue questions, reading material and resources to use”

• “Well set out, able to progress through the module easily”

• “Case studies varied, veterans different needs assessed, resources”

• “Easy to follow through each step. Good resources”

• “Case studies, good examples”

We also host the CVC Program website and maintain a clearinghouse of relevant resources at https://cvcprogram.flinders.edu.au which was most recently updated in December 2015.

CommunicareWe have been working with Communicare to create the Flinders Program data set including the Closing the Gap and Tobacco tools. The Flinders Program data set is currently being trialled and we are actively working with Communicare on the next phase of this development to roll out this option more broadly.

What’s new in Education and Training?As the Flinders Program continues to evolve there has been increasing interest in implementation support for embedding the tools and processes within various settings. In response to this we have developed

two short online courses, each of approximately 45 minutes duration with additional reading and activity completion time.

The courses have been designed for the individual online learner and can supplement existing Flinders Program training (online or face to face) but have also been developed to meet the needs of a wider audience. This potential audience could include managers having oversight of the Flinders Program implementation within their service but not directly involved in using the Flinders Program tools.

Online implementation courses:• Preparing to implement the

Flinders Program: This course introduces implementation science as a framework for making changes to embed the Flinders Program into practice and/or service delivery. Participants reflect on the skills needed across different levels to implement CCM as a consumer-directed, collaborative approach to care.

• Implementing the Flinders Program: This course builds from the above course and guides participants through a structured process to develop an action plan, congruent with their role, for implementation of the Flinders Program within their service.

Again in response to increasing demand, we have updated our previous Communication and Motivation workshop and are now pleased to offer the following:How to use Motivational Interviewing skills in everyday practice: Using a blended learning approach with online pre-workshop activities and a face to face workshop,

participants are presented with key concepts underpinning Motivational Interviewing and practice opportunities for health coaching skills and strategies that can be used to support clients to engage in behaviour change. An interactive and practical workshop program provides opportunities for health professionals to develop and practice MI skills to work in partnership with clients and their families.

Andrea MorelloEducation & Training Project

Manager

Care Plans in the most unusual places!A Chronic Condition Management student recently conducted a Flinders Program Care Plan with a farmer, whilst the two of them were dagging sheep! It apparently went very well. This reminds us that some people do their best talking with a tool in their hand!

Have you had a funny or strange experience while conducting a care plan? Let us know at fhbhru@flinders.edu.au.

THE CLIMATE IS CHANGING

CBTTo meet the changing reforms to Mental Health Services, Flinders University delivers the only qualifications in Cognitive Behaviour Therapy.... the first

of it’s kind in Australia and mid-year enrolments are now open.

In November 2015, the Australian Government Review of Mental Health Programmes & Services specifically highlighted the need for “PHN’s to encourage and support toward better utilisation of low intensity ‘coaching’ services for people with lesser needs.”

The Graduate Certificate in Cognitive Behaviour Therapy (CBT) will equip individuals with a defined and structured knowledge of Low Intensity CBT (LICBT). The course aims to provide the opportunity for individuals to increase and develop their knowledge in evidence based assessment and interventions for high prevalence psychological disorders within a competency-based cognitive behaviour therapy (CBT) framework.

6 months full-time (or equivalent) with a flexible blended delivery mode.

To apply go to www.satac.edu.au. Course code 2GC535

For further information please call +61 8 8404 2318 or email cheryl.bedford@flinders.edu.au

9FHBHRUBulletin - Spring 2015

FlincareLast September three USA Flinders Program trainers helped advance international exposure for the Flinders Program by hosting a combined four-day basic certification and master trainer opportunity for six competitively chosen participants.

These six participants each submitted research proposals for how they would implement a training program at their home institutions, which are located in New York, Pennsylvania, Georgia, Arkansas, and Illinois.

Since September, five of the six have completed their Master Trainer certification. Three have begun delivering trainings and another two are poised to do so shortly. Conditions being targeted include multiple sclerosis, diabetes, and Congestive heart failure (CHF).

Challenges remain with how to operationalise the Flinders as an outcome of these training programs, but the newly minted trainers remain positive and committed to the benefits the Flinders Program can provide to their patients.

Matt FrancisFlincare

During the first week of April, the Department of Psychiatry at Flinders hosted a delegation from the West Java Psychiatric Hospital for workshops in Community Mental Health.

Led by the hospital’s Vice Director, Dr. Riza Putra the 9 person delegation participated in presentations and interactive workshops coordinated by Professor Sharon Lawn. The program comprised an overview of Mental Health Service in SA with a focus on low intensity cognitive behaviour, community rehabilitation, mental health care planning and recovery. The program also included community mental health in rural and remote communities and child and adolescent mental health. On the second day of the program policy issues were explored, as were facilitated sessions looking at the community mental health nursing role and education for mental health professionals. A site visit was facilitated on the final day to the Trevor Parry Centre and the Noarlunga GP Plus Super Clinic where the group benefited from seeing first hand how mental health services are delivered in South Australia. Contributions from the SALHN through presentations and the site visit were a key part of the visit.

The successful workshops will be followed up by a return visit by Flinders staff to West Java later this year. This will include a visit to the West Java Psychiatric Hospital in late May as Flinders University joins the State Government Official Trade Mission to Indonesia.

Flinders UniversityFaculty of Medicine

Facts from Indonesia• Medical record changes are being thought through. Currently, each

professional has its own case notes i.e. no shared case note record!• GPs are located in primary care centres but their ability to address mental

health issues is still quite limited. People tend to hide their mental health issues and don’t tell GPs.

The hospital has• 17 psychiatrists, 14 GPs, 180 nurses and only a few allied health staff• ICU has 20 beds• Intermediate has approximately 280 beds• ED visits are approximately 5000 per year with approximately 80% being

for mental health related issues• Outpatient visits are approximately 30,000 per year so they are very busy

Some information about mental health in West Java:• Their province of West

Java has 27 districts and is responsible for a population of approximately 45 million people.

• West Java is ranked highest for mental health issues in Indonesia with 20% of population with mental health issues compared to national average of 11%

• Like many regions in SE Asia, West Java has a disproportionately young population.

West JAVA hospital delegation VIsit

9

THE CLIMATE IS CHANGING

For further information please call +61 8 8404 2318 or email cheryl.bedford@flinders.edu.au

10 FHBHRUBulletin - Spring 2015

Partners in health scaleThe burden of chronic disease (e.g. diabetes, heart disease and depression) is unquestionably a leading challenge to global health. To help address this, the Flinders Program of Self-Management Support aims to help individuals better manage their medical treatment and cope with the impact of the condition on their physical and mental well-being. To enable the meaningful measurement of the Flinders Program, the Partners in Health (PIH) scale was developed as a generic instrument for use in conjunction with patient assessment and goal setting processes.

The PIH has since been used to evaluate patient’s self-management capabilities in a range of chronic conditions and employed in a diversity of populations such as Aboriginal people, older people, Vietnam veterans, Mexican people and New Zealand Maori and Pacific peoples.

Recent translations of the tool have included those in Sweden, Brazil, France and Netherlands. The Flinders team have been actively involved in a number of these translations using Voice over Internet Protocols (VoIP)

and face-to face meetings.

Recently, the Flinders team incorporated additional assessments into the PIH relating to patient empowerment and emotional and spiritual aspects. A study then sought to validate the factor structure of the revised PIH instrument in an Australian community-based sample of people with chronic conditions.

Data was collected from the 2014 South Australian Health Omnibus Survey (HOS), a representative cross-sectional population survey of metropolitan and country areas. The findings showed that the PIH scale is a relevant and valid instrument for measuring constructs related to chronic disease self-management in an Australian community. The report is currently under review for publication in a scientific journal.

The next phase of validating the PIH is also underway to investigate the instrument’s capacity to detect and explain differences between (sub) groups of people with chronic conditions. To do this, we recently collaborated with the South Australian Health & Medical Research Institute (SAHMRI), Population

Health, and SA Health Public Health and Clinical System to expand the PIH dataset. This has enabled the investigation of PIH psychometric properties across a range of people with chronic conditions related to factors such as smoking, body mass index, and mental health problems. It is anticipated that these findings will be published in an epidemiology journal late 2016.

The methodical testing of instruments such as PIH will contribute significantly to much needed robust quality metrics for self-management of behavioural and physical chronic conditions especially for health care organisations focused on high-need patient populations.

Dr. David Smith

Recent translations of the tool have included those in Sweden, Brazil, France and Netherlands.

Flinders Program Accredited Trainers - why?

“ Being a trainer has really helped with implementing the Flinders Program

at the Trevor Parry Centre, as I now have

an even greater understanding of

the program, it allows me to more

closely work with the other members

of staff...”

So you’ve completed the Flinders Program Training and are looking to expand you’re knowledge a little more. We talk to Kirsty Smith, a Flinders Program Accredited Trainer to find out why she is what she is!

Can you give us a short background of where you work and what you do?I work at the Trevor Parry Centre (TPC) which is a community residential centre for people with mental illness. I am a registered mental health nurse. I work with people who have chronic mental health illnesses. My role is as rehabilitation coordinator, which means that I work with the residents of TPC on their goals and to help them to return to independent living.

Why did you want to become an Accredited Trainer? Chronic Condition Self-management (CCSM) has been integrated into our work at the TPC and I have found CCSM extremely useful when working with our residents. Because of this I became a champion for CCSM at TPC, which involved becoming an accredited trainer.

During the process of becoming an accredited trainer, were there any difficulties?None, it was a very smooth process.

Now you are a trainer, what are the rewards? Having the knowledge and knowing how to implement it to achieve better outcomes for our residents.

How does being a trainer help in your current work setting?It helps by being able to motivate our members of staff who may not quite have a grasp on the program

yet. It also allows staff members that are unsure how best to implement the program, to ask for assistance, and to support whilst a trainer completes the training, which has allowed the program to be completed quicker, which is necessary with our client group.

What kind of feedback do you get from workshop participants? All positive, in the two training sessions that we have run, it has all been extremely positive.

How has being a trainer contributed to implementation of the Flinders Program? Being a trainer has really helped with implementing the Flinders Program at the Trevor Parry Centre, as I now have an even greater understanding of the program, it allows me to more closely work with the other members of staff who have been trained and assist them with any issues, concerns or questions that they have.

Is there anything else you’d like to add? Overall it was some of the best training that I have ever undertaken, it was a thoroughly enjoyable two days and I would recommend it to anyone.

Kirsty SmithAssociate Clinical Services CoordinatorTrevor Parry CentreSouthern Adelaide Local Health Network

Thanks so much for your time and thoughts Kirsty.

The next Accredited Trainer workshops are

scheduled for

12-13th May, 2016 and

1-2nd November, 2016

To register or for more information

click here.

12 FHBHRUBulletin - Spring 2015

Publications: Oct2015 - Mar2016Refereed journal articles

Dham P, Larsen A and Baigent M. Exposure based therapy for problem gambling in a patient with Alzheimer’s dementia. Australasian Psychiatry 23(5): 510-512.

Drummond A, Cromarty P and Battersby M. Privacy in the digital age: Implications for clinical practice. Clinical Psychology: Science and Practice 22(3): 227-237.

Fuller J, Oster C, Muir-Cochrane E, Dawson S, Lawn S, Henderson J, O’Kane D, Gerace A, McPhail R, Sparkes D and Reed R. Testing a model of facilitated reflection on network feedback: a mixed method study on integration of rural mental health care services for older people. BMJ Open 5:e008593: 1-11.

Harris M, Jones P, Heartfield M, Allstrom M, Hancock J, Lawn S and Battersby M. Changing practice to support self-management and recovery in mental illness: application of an implementation model. Australian Journal of Primary Health 21(3): 279-285.

Miller M, Zrim S, Lawn S, Woodman R, Leggett S, Jones L, Karapetis C, Kichenadasse G, Sukumaran S, Roy A and Koczwara B. A pilot study of self-management based nutrition and physical activity intervention in cancer survivors. Nutrition & Cancer: An International Journal.

Lawn S, Zrim S, Leggett S, Miller M, Woodman R, Jones L, Kichenadasse G, Sukumaran S, Karapetis C and Koczwara B. Is self-management feasible and acceptable for addressing nutrition and physical activity needs of cancer survivors? Health Expectations 18(6): 3358-3373.

Lawn S and McMahon J. Experiences of care by Australians with a diagnosis of borderline personality disorder. Journal of Psychiatric and Mental Health Nursing 22(7): 510-521.

Lawn S, Fuller L and McNaughton D. What carers of family members with mental illness say, think and do about their relative’s smoking and the implications for health promotion and service delivery: a qualitative study. International Journal of Mental Health Promotion 17(5): 261-277.

Lawn S, Delany T, Pulvirenti M, Smith A and McMillan J. A qualitative study using moral framing to understand patients’ and mental health workers’ experiences of community treatment orders. BMC Psychiatry 15: 274-290.

Schoo A, Lawn S, Rudnik E and Litt J. Teaching health science students foundation motivational interviewing skills: use of motivational interviewing treatment integrity and self-reflection to approach transformative learning. BMC Medical Education 15(1): 1-10.

Smith D, Pols R, Lavis T, Battersby M and Harvey P. Experiences and perceptions of problem gamblers on cognitive and exposure therapies when taking part in a Randomised Controlled Trial: A qualitative study. Journal of Gambling Studies: 1-18.

Cromarty P, Drummond A, Francis T, Watson J and Battersby M. NewAccess for depression and anxiety: adapting the UK Improving Access to Psychological Therapies Program across Australia. Australasian Psychiatry.

Dowling N, Suomi A, Jackson A, Lavis T, Patford J, Cockman S, Thomas S, Bellringer M, Koziol-Mclain J, Battersby M, Harvey P and Abbott M. Problem gambling and intimate partner violence: A systematic review and meta-analysis. Trauma, Violence, & Abuse 17(1): 43-61.

Koivu B, Drummond A, Battersby M and Cromarty P. Large reductions in depression and anxiety via low intensity CBT delivered by novice coach. Australian and New Zealand Journal of Psychiatry.

Lawn S. What researchers think of involving consumers in health research. Australian Journal of Primary Health.

Lawn S, Westwood T, Jordans S, Zabeen S and O’Connor J. Support workers can develop the skills to work with complexity in community aged care: An Australian study of training provided across aged care community services. Gerontology & Geriatrics Education.

Lawn S, Delany T, Pulvirenti M, Smith A and McMillan J. Examining the use of metaphors to understand the experience of community treatment orders for patients and mental health workers. BMC Psychiatry 16(1): 1-16.

Orlowski S, Mathews B, Bidargaddi N, Jones G, Lawn S, Venning A and Collin P. Mental health technologies: Designing with consumers. JMIR Human Factors 3(1): e4.

Schoo A, Lawn S and Carson D. Towards equity and sustainability of rural and remote health services access: supporting social capital and integrated organisational and professional development. BMC health services research 16(1): 1-5.

Smith D, Woodman R, Drummond A and Battersby M. Exploring the measurement structure of the Gambling Related Cognitions Scale (GRCS) in treatment-seekers: A Bayesian structural equation modelling approach. Psychiatry Research 237: 90-96.

Smith D, Woodman R, Harvey P and Battersby M. Self-perceived distress and impairment in problem gamblers: A Study of pre- to post-treatment measurement invariance. Journal of Gambling Studies: 1-14.

Stanislaus V, Bastiampillai T, Harris M and Battersby M. Care plans in community mental health: an audit focusing on people with recent hospital admissions. Journal of Behavioral Health Services & Research: 1-9.

Oster C, Henderson J, Dawson S, Muir-Cochrane E, Lawn S, Reed R and Fuller J. Fragmentation in Australian Commonwealth and South Australian State policy on mental health and older people: a governmentality analysis. Health: An Interdisciplinary Journal for the Social Study of Health, Illness and Medicine.

Conference presentations

Battersby M. Engaging and supporting clients to manage their condition and lives. Keynote speaker. Centenary of ANZAC, Veterans’ Mental Health Symposium, Christchurch, NZ, 7-8 September.

Battersby M. An approach to young adults with gambling addiction. Paediatric Grand Round, Flinders Medical Centre, Bedford Park, SA, 10 September.

Dawson S, Muir-Cochrane E, Fuller J, O’Kane D, Gerace A, Lawn S and Henderson J. Carers’ experiences accessing mental health care for older people in South Australia: Mapping the journey. Australian College of Mental Health Nurses 41st International Mental Health Nurses Conference, Brisbane, QLD, 7-9 October.

Fleming F, Jones G and Orlowski S. Enhancing mental health practice through the use of consumer-centric technology: Case studies from Country Health South Australia, Youth Mental Health Service. Translating best practice into reality. TheMHS Conference, Canberra, ACT, 25-28 August.

Fuller J, Oster C, Dawson S, Muir-Cochrane E, McPhail R, Fuller M, Sparkes D, Lawn S and Reed R. How we manage primary care networks: Case study in rural mental health care for older people. Improving HealthCare International Convention (IHIC), Melbourne, VIC, 17 November.

Gerace A, O’Kane D, Muir-Cochrane E, Fuller J, Henderson J, Lawn S and Dawson S. Carers’ experiences of accessing mental health care for older people in a rural area in South Australia, Paper 20 minute. Translating best practice into reality. TheMHS Conference, Canberra, ACT, 25-28 August.

Kelly T, Sundram S, Lawn S and Hamilton B. Cardiovascular health up close and personal: A study protocol. Australian College of Mental Health Nurses 41st International Mental Health Nurses Conference, Brisbane, QLD, 7-9 October.

Lawn S. Smoke-free Prisons Panel Symposium Expert member. Oceania Tobacco Control Conference, Perth, WA, 22 October.

Lawn S. Co-convenor. 5th Annual National Borderline Personality Disorder Conference, Adelaide, SA, 2 October.

Orlowski S, Matthew B, Jones G, Bidargaddi N, Lawn S and Venning A. Health technology research: Learnings from a Youth Mental Health context. Ethical Encounters in HCI Research in Sensitive and Complex Settings at OzCHI 2015, Melbourne, VIC, 7 December.

Saxby NA and Lawn S. Are children just little adults? A concept analysis of children’s chronic condition self-management. The 29th Annual North American Cystic Fibrosis Conference Phoenix, Arizona, 8-10 October. Pediatric Pulmonology, 50(675): 449-449.

Smith D, Woodman R, Drummond A and Battersby M. Exploring the measurement structure of the Gambling Related Cognitions Scale (GRCS): a Bayesian structural equation modelling approach. Bayes on the Beach, Surfers Paradise, QLD, 7-9 December.

Baigent M. Efficacy of the beyondblue NewAccess program. 8th World Congress of Behavioural and Cognitive Therapies, Melbourne, VIC, 22-25 June.

Battersby M. Empowerment through the Flinders Program. Keynote speaker. New Life’s 50th Anniversary Symposium, Hong Kong 15-16 January.

Battersby M, Baigent M, Brown S, Cromarty P, Drummond A, Freeston M, Gallagher D, Harvey P, Lawn S, Smith D and Watson J. Increasing Access to Psychological Therapies (IAPT) in Australia: Evidence-based CBT interventions for anxiety, depression and gambling addiction. Symposium. 8th World Congress of Behavioural and Cognitive Therapies, Melbourne, VIC, 22-25 June.

Bertossa S. CBT treatment for Vietnamese problem gamblers. Preventing harm in the shifting gambling environment: Challenges, Policies & Strategies, International Gambling Conference Auckland, New Zealand, 10-12 February.

Cromarty P. Treatment for Panic Disorder 8th World Congress of Behavioural and Cognitive Therapies, Melbourne, VIC, 22-25 June.

Kemp V, Fisher C, Lawn S, Battersby M and Isaac M. Making the best of it: The reality of in vivo research. International RANZCP Congress of Psychiatry, Hong Kong, 8-12 May.

Riley B, Lawn S, Battersby M, Harvey P and Crisp B. Exploring the experiences of partners of non-help-seeking problem gamblers. Preventing harm in the shifting gambling environment: Challenges, Policies & Strategies, International Gambling Conference Auckland, New Zealand, 10-12 February.

Schoo A, Litt J and Lawn S. Motivational interviewing in primary health care: Developing and maintaining best practice to facilitate and maintain health behaviour change. 2016 Primary Health Care Research Conference, Canberra, ACT, 8-9 June

Smith D. Gambling related urges and cognitions 8th World Congress of Behavioural and Cognitive Therapies, Melbourne, VIC, 22-25 June.

Watson J. Efficacy of Australian Low-Intensity IAPT programs 8th World Congress of Behavioural and Cognitive Therapies, Melbourne, VIC, 22-25 June.

GET IN QUICK..... * APPLY NOW! *

MID YEAR ENTRYT O P 2 % U N I I N T H E W O R L D

*TIMES HIGHER EDUCATION WORLD UNI RANKINGS 2015-2016

POSTGRADUATE PROGRAMS

• CHRONIC CONDITION MANAGEMENT• COGNITIVE BEHAVIOUR THERAPY

25 How to use Motivational Interviewing Skills in Everyday Practice

June

15 Consumer Directed Care and Goal Setting

July

18 Post Graduate Programs Semester 2 Full fee paying students Cut-off

03 Behavioural Activation Workshop

August

08 - 10

CBT for Psychological Disorders Workshop

15 - 16

Building Resilience with Young People Workshop

17 - 18

Flinders Chronic Condition Management (CCM) Program

29 - 01

Advanced CBT Workshop

14 How to use Motivational Interviewing Skills in Everyday Practice

September

November01 - 02

Flinders Accredited Trainer Program25 Post Graduate Programs Semester 2

TEACHING COMMENCES

12 - 13

Flinders Accredited Trainer Program

Upcoming WorkshopsMay

28How to use Motivational Interviewing Skills in Everyday Practice - FUNDED for SA Residents

9 An Introduction to Motivational Interviewing Workshop

* To register, visit our “Study with Us” page online.

14 FHBHRUBulletin - Spring 2015

Professor Sharon Lawn and Andrea Morello had the pleasure of supervising and assisting Xiaojuan Zhi during her Faculty of Medicine Summer Research Scholarship Experience in FHBHRU.

I’m sure the experience was rewarding to all involved and we all wish Xiaojuan Zhi the best.

C O N G R A T U L A T I O N S to the Young and Well Towns team who were nominated in the Premier’s “Our Community Awards” Category of the SA Health Awards Showcase in November.

The SA Health Awards showcase excellence in the public health sector and recognise and reward individuals, teams, programs or projects that have significantly improved the delivery of health services to the South Australian community. Well done Y&WT.

The House of Representatives Standing Committee on Health has been conducting an inquiry into chronic disease prevention and management in primary health care.

As a result, Professor Sharon Lawn was invited to lodge a submission on Health’s Inquiry into Chronic Disease Prevention and Management in Primary Care. She was welcomed to appear before the Standing Committee on Health at a public hearing in Adelaide in early March, 2016.

FHBHRUF l i n d e r s H u m a n B e h a v i o u r & H e a l t h R e s e a r c h U n i t

Margaret Tobin Centre, Bedford Park SA 5042. GPO Box 2100 Adelaide SA www.flinders.edu.au/medicine/sites/fhbhru

Keep up to date with new Publications and information on Chronic Condition Management and Cognitive Behaviour Therapy on our News Blog at our website here. If you have any articles you’d like us to promote around these topics, or positions vacant, please email us at fhbhru@flinders.edu.au.